Onyx Care of Winnfield

In the surveyor’s words

From the most serious findings on record at Onyx Care of Winnfield, in the surveyor’s own words.

• Immediate jeopardy, patternF684Nov 9, 2021

  Based on observation, interview and record review, the facility failed to ensure that capillary blood glucose levels, and medications were administered in accordance with professional standards of practice, and residents' person centered plans of care. The facility failed to have a system in place to: 1. Ensure medications that included antihypertensive medication, narcotic analgesics, anticonvulsants, and [CONDITION(S)] medications were timely acquired and to be administered for 9 (#57, #2, R5, #34, #R6, #5, #42 and #R9) of 19 (#51, #57, #2, #5, #32, #34, #42, #47, #54, #R1, #R2, #R3, #R4, #R5, R6, #R7 #R8, #R9 and #R10) residents; 2. […]

• Immediate jeopardy, patternF755Nov 9, 2021

  Based on observation, interview and record review, the facility failed to have an effective system in place to provide routine drugs and biologicals to its residents by not having procedures that assure the accurate acquiring, receiving, dispensing and administering of all drugs to meet the needs of the residents of 4 (#57, #2, #5, #34, and #R9,) of 44 sampled residents. This deficient practice resulted in an Immediate Jeopardy situation for Residents #57, #2, #34, #R9, and #5 on 09/01/2021, when ordered medication by their physician for treatment and care of acute and chronic conditions were not made available at the facility. […]

• Immediate jeopardy, patternF835Nov 9, 2021

  Based on observation, interview and record review the facility failed to be administered in a manner that enables it to use it resources effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being for 9 (#2, #5, #34, #42, #51, #57, R5, R6, and R9) of 19 ( (#2, #5, #32, #34, #42, #47, #51, #54, #57, R1, R2, R3, R4, R5, R6, R7, R8, R9, and R10) sampled residents reviewed. The facility failed to have effective systems in place to: 1. Ensure the facility accurately and safely provides or obtains pharmaceutical services to ensure medications were acquired in a timely manner, available, and administered to meet the needs of the residents; 2. […]

• Immediate jeopardy, isolatedF689Sep 21, 2022

  Based on record review, observation, and interview the facility failed to ensure residents received adequate supervision to prevent accidents for 1 (#186) of 2 (#19, #186) residents reviewed for elopement. The facility failed to provide adequate supervision for Resident #186 who was a known elopement risk. This deficient practice resulted in an immediate jeopardy situation for Resident #186 on 09/17/2022 sometimes after 1:40 p.m. when she wandered off the facility grounds unnoticed by staff. Resident #186 had a history of exit seeking behaviors, had been identified as an elopement risk, and wore a wanderguard ankle bracelet. Resident #186 was picked up by a family friend in a neighborhood behind the facility and returned, uninjured, to the facility at approximately 2:05 p.m. on 09/17/2022. […]

• Actual harm, isolatedF697Nov 9, 2021

  Based on observations, interviews and record reviews, the facility failed to ensure pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences, for 3 (#5, #34 and #R9) residents reviewed for pain in a total sample of 44 residents. This deficient practice resulted in an actual harm for resident #5 on 10/30/2021, when the resident who had a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] .o. TID for severe pain, did not receive Oxycodone on 10/30/2021, 10/31/2021, and 11/01/2021. […]